p Slimming Down

p Stop Smoking

p Relaxation of the Head

p Restful Sleep

p Relaxation

Tapes are $20.00 each. CD’s $ 25.00.  In Canada, price includes shipping and all applicable taxes
(GST reg. number 123137325).  Outside Canada, shipping charges will be added.

These self-hypnosis tapes are easy to use and safe to listen to.  You can listen to the narration and even fall asleep during them with confidence.  Only play these tapes when it is safe for you to close your eyes.

These tapes are not intended as a treatment for any form of mental, physical, or nervous illness. 
All tapes are warrantee against defects. 

 Date:_____________________________

 Name: (Print) ____________________________________________________________________________

Address:____________________________________ City:_____________________________

Province, State: __________________ Country: _________________ Postal Code: _________

Phone: (Home) _______________ (Work): ___________________ Fax: __________________

NUMBER OF TAPES REQUIRED

@  $ 20.00 ea

NUMBER OF CD’S REQUIRED

@ $ 25.00

GRAND TOTAL:

AMOUNT ENCLOSED:

Cheque or
Money Order

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Made Payable to:
Anny Slegten

Visa

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Master Card

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Cash

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Drop in Only

 Cardholder Name: ________________________Cardholder Signature:_______________________

Please note: Payment by credit card will show as "Success and More" on your statement

Please have your Visa or Master Card number ready

Payment & registration confirmation will be sent to you by mail

Phone: (780) 448-0817
Toll Free: 1-800-330-5999

Please fill in the order form and include your Visa or Master Card number, expiry date and name of the cardholder. Payment & Shipping confirmation will be sent to you by Fax and by Mail.

Facsimile: (780) 922-1147

You may drop off your order list at our office.

Please call for location.

Fill in one order form, indicate method of payment and mail to:

ANNY SLEGTEN

P.O. Box: 3294

Sherwood Park, Alberta T8H 2T2

CANADA

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